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Organization
REJUVENX OF WEST PALM BEACH, LLC
Active
Organization
REJUVENX OF WEST PALM BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DECANIO DC (OWNER)
(561) 422-1819
Entity
Organization
Contact information
Practice address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(561) 422-1819
(561) 422-1819
Mailing address
1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1608
(561) 422-1819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8849
FL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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